caa a22 4500 445307471 CHVBK 20180317142617.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-011-1843-8 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1843-8 Lower genital tract metastases at time of first diagnosis of mammary invasive lobular carcinoma [Elektronische Daten] [Verena Engelstaedter, Ioannis Mylonas] Introduction: Although breast cancer is a major health problem worldwide, metastatic disease to the lower genital tract remains to be a rare event. Case report: A 64-year old woman was admitted to our hospital due to newly diagnosed ascites and peripheral edema. A computer tomography had shown peritoneal carcinosis but no clear evidence of an intraabdominal mass. CA 12-5 levels were elevated. Physical examination of the breast did not show any abnormal findings, except for the fact that the patient was post bilateral breast augmentation in 1999. The peritoneal carcinosis was thought to originate from the ovaries or the endometrium and therefore the patient underwent a laparotomy with hysterectomy, bilateral salpingoovariectomy and omentectomy. Histological findings revealed a low differentiated adenocarcinoma, most likely originating from primary breast cancer. A bilateral mammography was suspicious of a tumour in the left breast which was confirmed in a second surgery. Histology showed a moderately differentiated invasive-lobular breast cancer. Conclusion: To our knowledge, this is the first report about metastasis to the lower genital tract on initial presentation of an invasive-lobular carcinoma. In the differential diagnosis of peritoneal carcinosis, metastases of an invasive-lobular carcinoma should be considered. Springer-Verlag, 2011 Genital metastases nationallicence Initial presentation nationallicence Breast cancer nationallicence Invasive lobular carcinoma nationallicence Engelstaedter Verena Division of Infectious Diseases in Obstetrics and Gynaecology, 1st Department of Gynaecology and Obstetrics, Ludwig-Maximilians-University Munich, Campus Innenstadt, Maistrasse 11, 80337, Munich, Germany aut Mylonas Ioannis Division of Infectious Diseases in Obstetrics and Gynaecology, 1st Department of Gynaecology and Obstetrics, Ludwig-Maximilians-University Munich, Campus Innenstadt, Maistrasse 11, 80337, Munich, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 93-95 0932-0067 283<93 2011 283 404 https://doi.org/10.1007/s00404-011-1843-8 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1843-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Engelstaedter Verena Division of Infectious Diseases in Obstetrics and Gynaecology, 1st Department of Gynaecology and Obstetrics, Ludwig-Maximilians-University Munich, Campus Innenstadt, Maistrasse 11, 80337, Munich, Germany aut NATIONALLICENCE 700 1- Mylonas Ioannis Division of Infectious Diseases in Obstetrics and Gynaecology, 1st Department of Gynaecology and Obstetrics, Ludwig-Maximilians-University Munich, Campus Innenstadt, Maistrasse 11, 80337, Munich, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 93-95 0932-0067 283<93 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer